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Especially From Karen

Quality custom sewing and alterations

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                                Order Form

 


Mail to:

Especially From Karen

31 Elmwood Drive
Pittsgrove, NJ 08318

 


Item(s):
___________________________________________________________________________________________________________
Size: Quanity:
___________________________________________________________________________________________________________
Price:
___________________________________________________________________________________________________________
Merchandise Total:
___________________________________________________________________________________________________________
*Shipping Total:
___________________________________________________________________________________________________________
Total:
___________________________________________________________________________________________________________
Shipping Information:
___________________________________________________________________________________________________________
Name:
___________________________________________________________________________
Street Address:
___________________________________________________________________________________________________________
City, State, Zip Code:
___________________________________________________________________________________________________________
Method of payment (sorry, no cash or CODs)
| | Check/Money Order (a $35 fee will be charged for returned checks)
| | VISA (13 or 16 digits) | | MasterCard (16 digits)
| | Discover (16 digits)
Credit Card # | | | | | | | | | | | | | | | |

 

3 Digit Security code: | | | | (on the back of your credit card)
Expitation Date (MM/YY)______/_______
 

Please print out this form and mail to the above address.
 

 

Shipping Rates:

 

Purchase

Total

Rates*
0-255.95
26-50 7.95
51-759.95
76-10010.95
101-15013.95
151-20015.95
201 +18.95

 

 

   

  

 

 

 info@especiallyfromkaren.com